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VetNurse.co.uk publishes a curated feed of veterinary nursing news for registered veterinary nurses (RVNs), students (SVNs) and veterinary nursing assistants, with a primary focus on the UK profession.
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We report across all areas of practice, including companion animal, referral and specialist settings, with a focus on issues affecting veterinary nurses in clinical and professional roles.
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Jess, who works as an ECC locum in the North of England, launched the new service to provide sustainable travel options, with a particular focus on creating holidays for time-poor professionals and their families, organising combined leisure and volunteering trips, eco and adventure holidays off the beaten track, and business travel around conferences and events.
The company operates through Not Just Travel to offer holiday deals and discounts exclusively to veterinary professionals.
Jess said: “Having worked in the industry myself, I know the demands staff are under.
"They are incredibly busy but desperately need a well-earned break.
"We take the stress out of the booking process for them, by offering them specifically tailored options to meet their needs and allow them to reset and recharge.”
In addition, VetSetters have partnered with the charity VetLife, donating £5 from each booking in order to support the charity’s work in protecting the mental wellbeing of staff in the industry.
https://www.facebook.com/groups/384018824510499/
However, when asked by VetNurse.co.uk which audience - veterinary professionals, it's staff or the public - it was referring to, or what threats to safety and wellbeing were posed by X, the College refused point blank to answer.
So the real motivation remains unclear.
On the one hand, it could be a ridiculously over-sensitive move to protect its unknown audience from opinions that its staff find objectionable.
On the other hand, it could perfectly well be argued that short form social media reduces every discussion or debate to "I'm effing right and you're effing wrong", which is not appropriate for a scientific profession.
Equally, one could also argue that engaging in polarised debate is not terribly good for one's wellbeing.
Or one could just argue that it's a terrible platform owned by a strangely meddlesome and interfering American.
However, given the College's strange refusal to expand on the reasons for its withdrawal, the first explanation seems more likely.
But who knows?
https://www.rcvs.org.uk/news-and-views/news/rcvs-statement-on-x-formerly-twitter/
Veterinary advice and care has, of course, always been contextual, but the term has gained greater traction due to the cost of living crisis and the Competition and Markets Authority investigation.
At Congress, there will be several "Big Issue" panel discussions on this subject, with speakers exploring how the profession can play a role in building a better understanding between vets and clients on the topic of vet fees.
On the afternoon of day two, delegates will be able to hear an update on the CMA review and what to expect from it over the next few months from Martin Coleman, Panel Chair and Panel Inquiry Chair of the CMA.
On the final day (Saturday 22nd), the Big Issues module will bring discussions from the RCVS on the latest under care guidelines, an update on Schedule 3, and a look at the future of the regulation changes.
The day will end with a panel discussion on the ethical challenges that professionals face in practice, and the impact that they can have on individuals within the practice team
Advance tickets available at: https://www.bsavacongress.com until 5th February.
The patented system is made from lightweight carbon fibre and can be installed and removed from the back of the car in minutes.
The makers point to research carried out by Hartpury University in 2018 which concluded that allowing dogs to repeatedly jump clear from vehicles with high boot compartments may be inadvisable1, suggesting that it could contribute to ligament and joint injury.
In addition the system would logically be helpful for owners of older, less mobile dogs, or perhaps those recovering from surgery.
Prices start at £1995.
https://www.doganddrive.co.uk
Reference
For the study, which was funded by the charity Songbird Survival, researchers collected the nests of 103 blue and great tits, and tested them for the presence of 20 insecticides.
Fipronil, imidacloprid and permethrin were the main culprits, detected in 100%, 89.1% and 89.1% of the samples respectively.
Overall, a higher number of either dead offspring or unhatched eggs was found in nests containing a higher number of insecticides, higher total concentration of insecticides or a higher concentration of fipronil, imidacloprid or permethrin, which the authors say suggests contact exposure of eggs to insecticides in nest lining may lead to mortality and lower reproductive success.
The BVA responded by calling for more research and encouraging vets to work with clients to ensure responsible use of parasiticides.
BVA President Elizabeth Mullineaux said: “Parasiticides play an important role in preventing and treating parasites in animals, which if left unaddressed can lead to bigger health and welfare issues in both animals and people.
"But it’s important they are used responsibly, and this work from the University of Sussex and SongBird Survival highlights the need for more research into how parasiticides affect the environment and wildlife and the associated risks.
“Rather than blanket use, we strongly encourage vets and owners to take a risk-based approach to prescribing or recommending these medicines, reflecting an animal’s exposure to parasites."
The course offers practical tips and is also designed to help veterinary professionals understand their obligations under the Code of Professional Conduct when discussing costs with clients.
RCVS CEO Lizzie Lockett said: “Discussions around the costs of veterinary treatment are not always easy and can sometimes give rise to misunderstandings or lack of clarity between clients and veterinary teams.
"We recognise the challenges these conversations present and the pressures veterinary professionals face.
“Meanwhile, the ongoing Competition and Markets Authority (CMA) investigation has highlighted that animal owners are not always satisfied with the level of information they receive in order to make an informed choice about treatment options.
This course supports the development of veterinary surgeons’ and veterinary nurses’ communication skills so that they can discuss treatment costs more transparently with their clients, helping to reduce potential misunderstandings and build trust.”
The course takes 45 minutes to complete and features an interactive scenario as well as expert video advice from experienced veterinary surgeons.
https://academy.rcvs.org.uk
The group, which opened in 2021, is also securing sites in Newcastle and Halesowen for a further two practices which are due to open in 2026.
Harrison Family Vets says at least £350,000 will be invested in each of the new practices which will be staffed by a team of six initially.
Operations director, Kristie Faulkner said: “In less than four years we’ve opened seven extremely successful practices and quickly established a reputation for being a great place to work.
"We’ve built a team where everyone’s individual strengths and personality traits contribute to what we do, in a family-orientated environment.
“We take pride in creating very modern and well-equipped surgeries that are designed around the pets we treat, and we push the boundaries of what’s possible when it comes to pet care.
"In addition, all our team members are also trained, or currently in training for, the Fear Free Accreditation, to significantly reduce fear, stress and anxiety for both pets and their owners, which means every pet’s visit to Harrison Family Vets is as positive as possible.
“Crucially, we also offer pet owners far more affordable pet care than the large corporate chains and our total wellness plan is one of the best value offerings on the market.
"When this is combined with our exceptional team and pioneering practices, it’s not unusual for us to have hundreds of pet owners registering with us in new locations before we even open.
“We’re now looking forward to embarking on our next phase of growth and making our unique offering available to even more veterinary professionals and pet owners throughout the country.
"We would urge anyone interested in joining us in Stoke, Sheffield or Darlington, as well as Newcastle or Halesowen, which will launch in the next phase of openings, to contact us now.”
https://www.harrisonfamilyvets.co.uk/
The practice is now accepting dental referrals, including for dental, oral and maxillofacial surgery.
Hannah said: “I am proud to join the Fitzpatrick Referrals team to extend their referral offering to include this very important aspect of small animal veterinary treatment.
"Working alongside a world-class team with state-of-the-art facilities is a fantastic opportunity.”
https://www.fitzpatrickreferrals.co.uk/services/dentistry/
Miss Miles and her co-defendants mistakenly believed that the animals, which included a lamb, hens, piglets, goats, a calf, dogs and a pig, were in poor condition.
They went to steal the animals from their owners' properties after dark, dressed in dark clothing; some in balaclavas.
Miss Miles was sentenced to a community order for a period of 18 months rehabilitation activity requirement and 100 hours unpaid work rehabilitation, to pay £250 compensation, an £85 victim surcharge, and £400 in costs.
The Committee found that the facts of the case were proved on admission by Miss Miles and on the basis that they accepted the copy of the Certificate of Conviction.
Deciding on Miss Miles’ fitness to practise, the Committee considered the evidence before it and the advice of the Legal Assessor.
It also considered the transcript of remarks of the sentencing judge, as well as the fact that the events which led to the convictions occurred while Miss Miles was a registered veterinary nurse with the RCVS.
In terms of mitigating factors, the Committee considered that there was no financial gain associated with Miss Miles’ actions.
In terms of aggravating factors, it noted the risk of injury to animals, that Miss Miles’ behaviour was pre-meditated, that individuals had been targeted in their own homes after dark, the stress and emotional harm to the owners, and that there had been repeated criminal offending.
The Committee also considered Miss Miles’ motivations in respect of animal welfare in coming to its decision.
However, it assessed the offences to be serious, taking into account their nature and circumstances.
Paul Morris, chairing the Committee and speaking on its behalf, said: “The Committee was aware that breaches of the Code do not in themselves mean that the respondent is unfit to practise by reason of the conviction.
"However, the Committee took into account the nature and circumstances of the conviction and also considered the wider public interest.
"The Committee was satisfied that the respondent’s behaviour which led to the conviction created a real risk of harm to the animals in question, as was clear from the basis upon which the respondent was sentenced.
“Further, the behaviour which led to the conviction for the repeated offences in the circumstances in question brings the veterinary nursing profession into disrepute.
"To find otherwise would undermine public confidence in the profession and fail to uphold proper standards of conduct and behaviour.
“Accordingly, the Committee found that the conviction, set out in the charge, renders the respondent unfit to practise.”
When determining an appropriate sanction, the Committee considered the same aggravating factors it had evaluated when assessing fitness to practice. However, further mitigating factors, in addition to the fact that Miss Miles had no financial gain, included:
The Committee considered the testimonials and character references which attested to Miss Miles’ exemplary practice, integrity, professionalism, compassionate approach to animals, commitment to animal welfare, work in educating others in animal welfare, and commitment to campaigning for animal welfare.
However, it was noted that Miss Miles gave the impression to the Committee that while she accepted that it was wrong to commit the criminal offences, she also believed that her intention to protect the animals’ welfare was a justification.
Speaking on the sanction, Paul Morris said: “The Committee was of the view that the conviction was particularly serious, in that it involved offences of dishonesty on a repeated basis.
"The Committee also took into account that the respondent has invoked her beliefs to undermine an aspect of the sentencing judge’s remarks and has used those beliefs to justify her actions at the time before this Committee.
“However, the risk of re-offending is low and, as already stated, the Committee accepts the respondent’s assertion that she does not intend to break the law again, and the Committee is assured in this regard by the lack of repetition in the last six years.
"There was insight shown by the respondent into the effect of her conviction on public trust and confidence in the profession.
"The Committee weighed the demands of the public interest, as well as the previously stated mitigating and aggravating factors.
"In all the circumstances of this particular case, the Committee concluded that both a reprimand and a warning as to future conduct is sufficient and proportionate to meet the need to maintain public confidence in the profession and uphold proper standards.”
The Committee went on to consider an order of suspension but decided that this would serve no useful purpose in light of the low risk of repetition of criminal offending, the nature of which was unconnected to her daily role as an RVN.
It could see no identifiable risk to animals now and in the future.
The Committee decided that to impose a suspension would be punitive and disproportionate.
The reprimand and warning sanction imposed on the respondent will remain on her RCVS record indefinitely and will be taken into consideration should there be any future misconduct.
https://www.rcvs.org.uk/concerns/disciplinary-hearings/
The bursary gives Louise a £2,000 CPD allowance for having demonstrated her commitment to making a difference and furthering Louise’s legacy of sharing learning.
Louise said: “I'm absolutely over the moon to have been awarded the Louise O'Dwyer bursary - and am incredibly grateful for the support and opportunity provided by Vets Now.
"I have worked in practice for some 26 years now and was lucky enough to attend several of Louise's emergency and critical care nursing lectures at a variety of veterinary conferences over the years.
"Her lectures were inspiring and full of humour.”
“I intend to use the bursary to undertake the Post Graduate Certificate in Advanced Practice in Veterinary Nursing (PgCert APVN) through the University of Glasgow.
"I am incredibly excited to embark on this new learning journey - and hope that I can share these skills with other RVNs, and encourage others to keep following their dreams within the veterinary nursing profession, just as Louise did.”
Applications for next year’s Louise O’Dwyer bursary will open in spring 2025.
The company points to research which shows that osteoarthritis can affect up to 40% of dogs 1,2 and managing the disease requires a multi-faceted 1,3, life-long, approach.
Animalcare says its osteoarthritis diary gives practices a practical, client-friendly tool to engage pet owners in their dog’s care journey, promoting adherence to treatment plans and enhancing communication between vets and pet owners.
Pet owners are asked to record three everyday activities to monitor their dog's progress, for example, its ability to get into the car, go upstairs or get up after sleeping, on a scale of 1-4.
This will allow all members of the veterinary team to understand how the patient is responding to treatment.
Kai Crawshaw, Brand Manager at Animalcare said: “This OA Diary is intended to enhance the veterinary practice’s ability to offer comprehensive, contextualised care, without increasing their workload.
"The diary supports both initial treatment plans and long-term management strategies, giving veterinary staff confidence that their patients are receiving the ongoing care they need at home.”
https://www.animalcare.co.uk/oa_diary/
References
Starting in 2022 ‘The context, consequence and prevention of veterinary workplace injuries: a qualitative and quantitative study in the UK’ study aims to explore the context, consequences and behaviours surrounding veterinary workplace injuries - to improve the safety of the profession.
The first phase of the research was a cross-sectional survey of 740 broadly representative veterinary professionals.
Initial analysis, published in Occupational Medicine1, explored how injuries and their context are perceived by veterinary profession.
Themes identified during this phase of analysis were:
CVS says the veterinary industry should take note of the discrepancy of perception of what constitutes work-related injury in its practices and reporting protocols.
Practices may need an individualised approach to minimise their workplace injuries: some may need to work on revisiting their ideas around acceptable risk, whilst others may be good at minimising work-related harm, but have a complex or blame-associated reporting system which needs to be simplified.
Dr. John Tulloch, Lecturer and European Specialist in Veterinary Public Health, at the University of Liverpool who is leading the research, said: “Injuries that occur within veterinary practice can tragically at times be life-changing and are often avoidable.
"The objectives of this study are to understand how veterinary professionals define injuries and to understand what injuries they do or do not deem reportable.
"The results of this stage of the research have been both startling and complex.
"They highlight a profession in drastic need of cultural change and personal attitudes, with respect to injury prevention and mitigation.”
Dr. Imogen Schofield, Director of Clinical Research at CVS, said: “Using these findings, we will be able to develop and strengthen injury prevention measures through safety policy, education, and training.
"We anticipate that this project will result in safer workplaces within the wider veterinary community and, indirectly, in improved animal treatment through a fitter, healthier and safer profession.”
CVS says the research will lead to the development of open access educational tools aimed at promoting injury awareness and prevention.
The tools will focus on understanding why reporting injuries is important, how to develop a culture of accountability without blame, and when to seek medical attention and take time off work.
They will also investigate how to encourage clients to be safety ambassadors, and how to empower colleagues in challenging situations regarding restraint, aggressive patients and equine safety.
In addition, they will look at improving cat handling via International Society of Feline Medicine training and Cat Friendly Clinic accreditation, facilitating a rise in usage of hard hats in equine, and raising awareness of the risks associated with sharps plus sharp bin provision.
Reference:
The company has created the X-Pert Radiation Safety Centre, with free downloadable toolkits for both small animal and equine practice, including positioning guides, top tips, chemical restraint protocols, and a series of case studies with equine and small animal clinics, including Pennard Vets.
Dr Victoria Johnson, CEO and radiologist (pictured), said: “Radiation safety breaches represent a significant health and safety incident and a risk to the health of veterinary team members and their patients.
"Despite this, we know that breaches are not uncommon in clinical practice.
"To help meet the challenge of improving safety in busy practice workflows, VET.CT has created a comprehensive suite of practical resources to support veterinary teams in applying best practice to ensure the health of their personnel and patients.
"We have also partnered with clinics from around the world, including GP, equine and specialist hospitals, to provide some great case studies of how the principles can be applied in practice.”
Victoria added: “Good radiation safety practice also encourages habits that lead to better diagnostics.
"We know that taking extra care to ensure good patient preparation, positioning and optimising settings results in fewer exposures and higher quality diagnostic images for more accurate interpretation.
"This all contributes to improved efficiency, patient management and outcomes, greater satisfaction, and of course, happier owners.”
The X-Pert radiation safety resources for small animal practice: https://uk.vet-ct.com/welcome-to-x-pert
The X-Pert radiation safety resources for equine practice here: https://uk.vet-ct.com/welcome-to-x-pert-equine
Each charge related to fraudulent pet insurance claims that Mr Johnston had made for the treatment of animals when he was in practice in Banbridge, County Down, two of which were fictitious, and where he had arranged for the insurance claims to be diverted and paid into a personal bank account, rather than the practice’s bank account.
At an initial hearing, which concluded on April 2022, Mr Johnston had admitted all the charges against him as well as admitting that his conduct was dishonest and amounted to serious professional misconduct.
The Committee was satisfied that his conduct amounted to serious professional misconduct, with Committee Chair Paul Morris saying: “The Committee has no hesitation in concluding that the respondent’s dishonest conduct will have severely undermined the confidence of the public in the veterinary profession and, further, that his conduct fell far short of the standards and conduct properly to be expected of a member of the veterinary profession.
"The Committee is satisfied that this conduct by the respondent brought the profession into disrepute.”
The proceedings were then adjourned to allow a psychiatric report and other mitigation to be prepared.
At its resumed hearing in November 2022 the Committee considered what sanction to impose in relation to Dr Johnston’s actions.
At this point, the Committee decided to postpone its decision on sanction for a period of two years on the condition that Dr Johnston enter into undertakings to the Committee including refraining from any form of gambling, subjecting himself to a close regime of support and supervision, and repaying some of the sums he had defrauded.
The hearing reconvened in October 2024 to decide on an appropriate sanction.
The Committee noted that Mr Johnston had complied with the undertakings and provided the Committee with the interim reports required of him.
He also continued with the therapeutic interventions and programmes specified, as well as implemented measures designed to minimise the risk of a relapse into gambling.
The Committee also noted that reports from the gambling support services, to which Mr Johnston had signed up, all spoke positively about his involvements and confirmed the progress he had achieved in managing his addiction.
The Committee also took into account a psychiatric report as well as evidence under oath from Mr Johnston’s wife who confirmed his compliance with the undertakings.
As a result, the Committee was satisfied that the prospects of a repeat of the conduct which led to the charges laid against Dr Johnston were now greatly reduced.
The Committee said it was less impressed with the evidence provided by Mr Johnston.
While he had largely complied with the letter of the undertakings he gave in 2022, it remained troubled by his apparent unwillingness or inability, on account of lack of effort, to fulfil the assurances previously given that he was in the process of changing his name to Johnston, from Fegan, on official documentation in order to be consistent with his legal name, when he had not done so.
The only formal name change in place was on the RCVS Register, and he had failed to alter his name on his driver’s licence, on his registration with the Veterinary Council of Ireland, his passport, bank accounts, and one of his email addresses.
As a result, the Committee did not find Dr Johnston to be an entirely satisfactory witness.
Paul Morris, chairing the Committee and speaking on its behalf, said: “Having made the progress that he has over the period since the commission of the charges found proved in 2019, the Committee considers that the imposition of a sanction of suspension on top of the period of postponement would be excessive, in the particular circumstances of this case.
“For the same reasons, as stated above, it is considered that it would be excessive now to impose a sanction of removal from the register.
“That process of reasoning has driven the Committee to the conclusion that the sanction of a reprimand and warning as to future conduct is what the facts and circumstances of this case call for.
"That is because the respondent can be under no illusion about the outcome were he to appear again before this Committee.
"A failure to take advantage of the exceptional course adopted by this Committee on this occasion would be regarded as a serious aggravating factor were he to appear before the Committee at any time in the future.”
https://www.rcvs.org.uk/concerns/disciplinary-hearings
The multicentre observational study described 382 placements of catheters across 19 different institutions, recording the placement techniques and tracking resulting complications to determine the associated risk factors.
The majority of the data was collected by veterinary nurses across the country.
The risk factors identified included the number of insertion attempts, whether a second subsequent placement was required, the frequency that the catheter was flushed and if the flush solution was compound sodium lactate.
In addition to identifying the risk factors, the study also found that complications occurred in just over one-quarter of placements, with limb swelling and phlebitis being the most common (11.5%).
The second most common complication observed was PIVC dislodgement/patient interference (7.9%).
As a result of these findings, the researchers are calling for more vigilant monitoring of patients with a PIVC in situ, particularly if they have experienced any of the factors that increase their risk of complications.
Eleanor said: “PIVCs are placed every day in almost all veterinary practices, yet there is little evidence to inform how best to place and manage them.
"I am passionate about providing the best care for cats and dogs, and it was fantastic to work with like-minded nurses and vets who wanted to gather the evidence that we can use to improve the care of our patients.
"I look forward to continuing this area of research, and believe veterinary nurses are best placed to undertake this work as it is part our of daily working lives."
Dr Christopher Scudder, Senior Lecturer in Small Animal Internal Medicine at the Royal Veterinary College and senior author in the study, said: “The hope is that this study will stimulate more research about PIVCs, and that sufficient evidence will be developed to help reduce complications associated with these routinely placed devices.”
Zenalpha provides restraint, sedation and analgesia during non-invasive, non-painful or mildly painful procedures and examinations intended to last no more than 30 minutes2.
It is administered intramuscularly and takes effect within 5-15 minutes1, 2.
Dechra says patients also recover more rapidly2, potentially avoiding hospitalisation and allowing them to get home sooner.
Zenalpha contains the active ingredients 0.5 mg/ml medetomidine hydrochloride and 10mg/ml vatinoxan hydrochloride.
Medetomidine is an alpha-2 agonist used for its sedative and analgesic properties.
Vatinoxan is a peripherally selective alpha-2 antagonist which Dechra says has limited penetration across the blood-brain barrier, so it works to antagonise only the alpha-2 receptors located in the periphery, reducing cardiovascular side effects without impacting the quality of sedation or analgesia.
In a study of 223 dogs1 comparing a traditional alpha-2 agonist with Zenalpha, Zenalpha was found to minimise cardiovascular side effects while preserving reliable sedation and analgesia.
Claire Westoby, brand manager at Dechra said: ‘The next generation of alpha-2 agonists have evolved to provide the same effective and reliable sedation and analgesia, but with reduced cardiovascular side effects and a reduced chance of vomiting.
"This improves the sedation experience for the canine patient, as well as reducing the associated stress commonly experienced by veterinary teams and dog owners.”
Matt Gurney FRCVS, an RCVS and EBVS European Specialist in Veterinary Anaesthesia and hospital director at Anderson Moores, said: “It is really exciting to see the launch of an innovative new product, especially one with a unique mechanism of action that will improve the sedation experience for the vet team and our patients.
"Zenalpha not only provides a solution to cases where IV placement is not possible and a rapid onset IM option is required, but it also offers a rapid and complete recovery which ensures that dogs can be reunited with their owners and return home as soon as possible.”
Zenalpha is presented in a 10 ml glass vial in individually packed cardboard boxes.
For more information: www.dechra.co.uk/zenalpha or contact your local Dechra territory manager.
To watch Matt Gurney’s ‘Zennovation in sedation – the next generation of alpha-2 agonists’: www.dechra.co.uk/academy.
Sedaxylan 20 mg/ml contains the short acting alpha-2 agonist xylazine and is licensed for I/V administration.
It is also licensed for I/M administration in cattle; it has zero milk withdrawal and short one day meat withdrawal and sedation occurs in cattle within two minutes I/V and five to 10 minutes I/M.
Sedaxylan 20 mg/ml joins Dechra’s Nerfasin vet 100 mg/ml solution in the company’s anaesthesia and sedation range. Nerfasin vet also contains xylazine and is licensed for I/V administration for sedation and premedication prior to general anaesthesia in horses and cattle.
Alana McGlade, national sales manager at Dechra, said: “Dechra offers a comprehensive range of anaesthesia and sedation products allowing vets to customise protocols to the individual animal.
"Sedaxylan 20mg/ml and Nerfasin vet 100 mg/ml solution provide vets with flexible and convenient dosing options.”
Both Sedaxylan 20 mg/ml and Nerfasin vet 100 mg/ml are available in 25ml vials.
For more information, talk to your Dechra territory sales manager.
www.dechra.co.uk.
For those new to the club, the idea is that every two weeks, we pick an article in Veterinary Practice and invite the author to join us on VetNurse.co.uk, so that you can ask questions and discuss the subject with one another.
As a bonus, you can claim time spent reading or participating in the discussion towards your annual CPD requirement.
Just press the claim CPD button at the top right of the discussion thread.
For this first discussion of 2023, author Shelly Jefferies RVN, NCertPT, a clinical coach with over twenty years experience as a veterinary nurse (and founder of the Facebook group SVN2RVN) will be joining us this week to answer questions about 'Becoming a Cat-friendly Clinic'.
To take part, first read her article here: https://www.veterinary-practice.com/article/becoming-a-cat-friendly-clinic
Then come and join the VetNurse Clinical Article Club and post your questions here: https://www.vetnurse.co.uk/vetnurse-clinical-article-club/
VetNurse.co.uk Editor, Arlo Guthrie said: "I hope lots of you will come and join the club. It really is a great opportunity to learn from experts in a professional, moderated forum, where you can be confident of a friendly welcome."
There'll be tours of the hospital, including the new consulting suite, together with the opportunity to meet NWVS specialists, clinicians, nurses and client care personnel.
Food and refreshments will be served throughout the day, and the practice is also laying on some physiotherapy demonstrations.
Clinical director Prue Neath said: “Our open day for veterinary practice teams is a great opportunity to showcase to the veterinary profession the modern facilities and cutting-edge equipment we have on offer, further enhanced by our major expansion.
“The upgrades ensure we can continue to deliver the very best of care and treatments to our pet patients, while offering a first-class working environment for our valued colleagues.”
To book a place: www.nwspecialists.com/vet-professionals/open-day/registration
The new course, which starts in February, is only the second such course to be offered to practice nurses in the UK. It's designed for anyone who wants to advance their knowledge and skills in practice nursing to a mastery level, beyond that of the RCVS Day One Skills and Competences.
CVS says the course is applicable to working within the practice consulting room or district nurse environments. Modules cover professional practice and legislation, consulting skills, nutrition and diet, medical clinics, prescribing and dispensing for the practice nurse, coaching, mentoring and support, and practical practice nurse skills.
The 12-18 month course will be taught online, with a face-to-face induction and assessments.
Jacqueline Evans, Head of CVS Group’s Chester Veterinary Training Centre, said: “Our veterinary nurses are hugely important to us.
"A good nurse, offering great care, is fundamental to a good practice.
"So we wanted to increase the breadth of veterinary nurse training – both for CVS and external nurses – to give them the opportunity to progress their careers and be the very best they can be."
The course costs £2500 + VAT
To apply, visit www.chestervtc.co.uk or email: nursingschool@cvsvets.com.
Willows says it is currently the only centre in the UK to offer the procedure, and one of very few in the world.
Simon Swift, an RCVS and European specialist in small animal cardiology (pictured right), heads the cardiology team at Willows.
He said: “Transcatheter edge-to-edge mitral valve repair (TEER) is already considered an alternative to surgical repair in human patients and there have been some very promising early clinical results in dogs.
“The procedure is performed under general anaesthesia through a small incision in the chest wall.
“Access within the beating heart is achieved by a needle puncture at the apex of the heart which is highlighted by continuous X-ray images and an ultrasound of the heart via a probe placed in the oesophagus.
“This allows correct positioning of a V-clamp across the mitral valve to reduce the amount of leakage.
“It’s a procedure that delivers meaningful results and an improved quality of life and, because it’s a minimally invasive process, patients are typically discharged from hospital within two days.”
www.willows.uk.net
Ear cropping in UK dogs was exposed by BBC’s Panorama as a growing problem particularly with extreme mix breeds such as American Bullies and XL Bullies.
Dave said: “We need to urgently relook at legislation in the UK to prevent the serious rise in ear cropping which we’ve witnessed in recent years.”
It is currently illegal for a dog’s ears to be cropped in the UK, and proposals for a ban on importing dogs with cropped ears have been put forward by the Government. However, Dave says this legislation doesn’t go far enough to prevent an exponential rise in dogs with cropped ears, which some owners see as a status symbol: “At the moment the legislation in the UK is very hard to enforce unless you actually catch someone in the act of cropping the dog’s ears.
“It’s not currently illegal for someone to own a dog with cropped ears.
"So, if an owner were challenged by enforcement agencies, they’d just say ‘I bought the dog like this’ and there’s no liability.” “We propose that any dogs who already have cropped ears at the time the ban is due to come into force, must be registered on a database, which enforcement agencies and the veterinary profession would have access to.
"And for anyone owning an unregistered dog with cropped ears after the legislation comes into effect, then it’s a criminal offence.”
The Panorama programme also exposed co-ownership – where the breeder and the pet owner share ownership of the dog, often the bitch – as a system which has enabled unscrupulous breeders to get around current laws on dog breeding in the UK.
The breeder retains ownership of the stud dog and uses the network of co-owned female dogs for reproduction purposes. Dave said: “People need to be made aware of the risks of entering into a legal contract as a co-owner of one of these extreme mix breed dogs. “All the contracts I have seen in my role as an expert witness are strongly weighed in favour of the breeder. “So for example if the bitch does not have the requisite number of litters, or becomes ill or injured and has to be put to sleep, then the co-owner is fully liable for the full purchase cost of the dog to the breeder. “Considering that the female dogs are often valued in excess of £12k and the breeder may well have connections to organised crime or have a criminal record, there are huge risks for people entering into co-ownership.”
The new machine is a modular system using low-flow anaesthesia for animals from 2-80kg.
The company says that compared to anaesthetic techniques which use high fresh gas flow rates, it functions without posing a risk to team members from the huge amounts of oxygen and inhalational anaesthetic agents that would otherwise be released.
In turn, this results in cost savings from unwasted agents, and a typical 5 to 10 times reduction in environmental damage.
Darvall founder, Dr Colin Dunlop, said: “For optimal outcome from anaesthesia, veterinary anaesthesiologists and veterinarians routinely make decisions about the physiological well-being of the patient, the environmental impact of their actions, the operational efficiency of their practice and cost-effectiveness.
"Having suitable equipment that uses low-flow anaesthesia will reduce the risk of hypothermia, improve team safety, reduce environmental emissions and reduce costs.”
“Low-flow anaesthesia not only reduces oxygen flows and inhalant agent consumption to less than 10% of high-flow, non-rebreathing systems, it can help reduce anaesthetic hypothermia because it uses warm gas when using the Darvall heated breathing circuits.
"Using our specifically designed modern system for veterinary patients addresses the traditional challenges associated with low-flow anaesthesia and hypothermia.
Darvall says the use of just one system will also simplify staff training and ensure familiarity.
https://darvallvet.com
Dr Power faced a number of charges relating to alleged clinical and communications failings surrounding surgery carried out on two separate dogs on two separate occasions.
The first concerned laryngeal tieback surgery carried out on Harvey, a Tibetan Terrier in March 2018, and the second concerned oesophageal surgery carried out on a boxer dog, Boss, in October 2018.
The College withdrew a number of the charges at the start of the hearing, and more later after hearing from witnesses.
Of the remainder, Dr Power admitted that she had not undertaken pre-operative radiographs before proceeding with the laryngeal surgery, had failed to perform the surgery appropriately (she dissected excessive tissue and had inappropriately placed sutures), and had undertaken the surgery when it was outside her area of competence.
In relation to the oesophageal surgery, Dr Power admitted failing to provide a referral report and/or clinical records to the veterinary practice he was referred from, despite requests from the practice.
The Committee found that the majority of the charges which had not been withdrawn or admitted by Dr Power, not proven.
However, the Committee found that in addition to the admitted charges, Dr Power had subjected the dog undergoing oesophageal surgery to an excessive 9.5 hours of anaesthesia.
The Committee then went on to consider whether the proven charges amounted to serious professional conduct.
Counsel for the College submitted that Dr Power’s conduct breached the part of the Code of Professional Conduct relating to veterinary surgeons keeping within their area of competence and referring responsibly; and providing veterinary care that is appropriate and adequate.
In terms of aggravating factors, the College submitted that there was both actual injury to the animal, as well as actions that posed a risk of injury, that Dr Power financially benefitted from the alleged misconduct as she was paid to perform a procedure outside her competence, and that she occupied a position of increased trust and responsibility as she advertised herself as a practitioner who accepted referrals and was competent to perform soft tissue surgery.
Dr Power’s counsel submitted that the charges that had been found proven amounted to clinical and administrative failings and that this was not a case of a veterinary surgeon deliberately or recklessly acting outside of their capabilities, but rather a case where a diligent and responsible veterinary surgeon had fallen short in discrete areas of her clinical practice and had reasonably believed at the time that she was competent to perform the surgery.
The Committee found that although the conduct within the proven charges fell short of what would be reasonably expected of a veterinary surgeon, it did not fall so far short that her conduct constituted serious professional misconduct.
Paul Morris, chairing the Disciplinary Committee and speaking on its behalf, said: “The Committee understood that it had a responsibility to consider the wider public interest, taking into account the view of a reasonable member of the public in possession of all the relevant facts and information.
“The Committee considered that such a member of the public would understand that veterinary surgery is a challenging profession. It was of the view that such a member of the public would not expect perfection, but understand that any professional practitioner may make mistakes in the course of their practice.
“It is the judgement of this Committee that the respondent’s conduct does not constitute disgraceful conduct in a professional respect.”
The full findings of the Disciplinary Committee can be found at www.rcvs.org.uk/disciplinary
Turning Over a New Leaf – How to Make Sustainable Change in the Veterinary Profession includes contributions from a range of organisations including the RCVS, Mars Veterinary Health and Investors in the Environment (iiE).
The report covers upcoming changes to the RCVS Practice Standards Scheme, the value of external accreditation to support sustainability, and how to approach behaviour change within your team.
Two further articles highlight how changes in clinical practice can combat antimicrobial resistance and reduce levels of surgical waste.
The report also features the personal experiences of practice sustainability leads, who discuss how they have worked with others to improve their sites.
Ellie West, Environmental Sustainability Lead at Linnaeus said: “Changing how we work day-to-day, when we are all so busy as a profession, can be a lot to juggle but sustainability brings a huge range of benefits.
"As well as helping the environment, it can promote the wellbeing of our patients and colleagues while also improving our performance as a business.
“It is important, however, to avoid dictating what sustainable change should be made because it will vary greatly between different teams and locations.
"This report shares ideas from contributors with a variety of roles and responsibilities, who have taken different approaches to supporting the environment but are all united in their commitment to delivering excellent clinical care.”
Sue Paterson, RCVS Junior Vice-President and RCVS Council lead for Environment & Sustainability, said: “Contributing to this report highlights the importance of working together as a profession to understand the environmental challenges we face and adopt solutions that will benefit our planet and the animals we care for.
"Upcoming changes to the RCVS Practice Standards Scheme will cover sustainability across a range of areas and we are committed to ensuring the veterinary profession can fully realise the benefits of this new guidance.”
April Sotomayor, Principal Consultant at iiE, added: “This report offers a range of perspectives that highlight how the veterinary profession can become a leader in sustainability and a shining example to other sectors.”
Download Turning Over a New Leaf – How to Make Sustainable Change in the Veterinary Profession here.